门静脉动脉化在肝胆外科中的应用现状与展望  

Current status and perspectives of application of portal vein arterialization in hepatobiliary surgery

作　　者：张俊晶[1] 孟兴凯[1] 

机构地区：[1]内蒙古医学院附属医院外科,呼和浩特010050

出　　处：《中华肝胆外科杂志》2011年第4期349-352,共4页Chinese Journal of Hepatobiliary Surgery

基　　金：基金项目：内蒙古自治区高等学校科学研究项目基金（NJ09120）;内蒙古自治区应用技术研究与开基金（20080502）

摘　　要：自首次将门静脉动脉化（PVA）用于门静脉高压症患者治疗以来,PVA的概念一直受到关注.在某种特殊形式下,PVA技术在肝胆外科中仍有一定的应用价值.然而,PVA毕竟改变了正常的人体生理解剖关系,对于它在肝胆外科中应用也存在较多争议.文中综述门静脉动脉化在肝动脉切除和（或）损伤、急性肝功能衰竭以及肝移植中的应用现状,并对以后的研究进行初步的展望.Since portal vein arterialization（PVA） was firstly introduced as a treatment in patients with portal hypertension due to liver cirrhosis, the concept of PVA has drawn much attention. In special situations, in hepatobiliary surgery, this procedure remains useful. However, PVA is unphysiological and there is much controversy on its use.This article reviews the current status of PVA in hepatic artery resection or injury, in acute liver failure and in liver transplantation, and suggests future directions in research in PVA.

关 键 词：门静脉动脉化 肝动脉损伤 急性肝功能衰竭 肝移植 

分 类 号：R657.3[医药卫生—外科学]